@article{ref1,
title="Integrating Dialectical Behavior Therapy and Prolonged Exposure to Treat Co-Occurring Borderline Personality Disorder and PTSD: Two Case Studies",
journal="Cognitive and behavioral practice",
year="2008",
author="Harned, M.S. and Linehan, M.M.",
volume="15",
number="3",
pages="263-276",
abstract="Despite the high rate of trauma and PTSD among individuals with borderline personality disorder (BPD), no studies have specifically evaluated the treatment of PTSD in a BPD population. These case studies illustrate the use of a protocol based on prolonged exposure therapy that can be integrated into standard dialectical behavior therapy to treat co-occurring PTSD in BPD clients. Two women with BPD and chronic PTSD were treated and results indicate a significant improvement in PTSD symptoms as well as a variety of secondary outcomes. Despite having recent and extensive histories of suicidal and nonsuicidal self-injurious behavior, as well as ongoing low to moderate urges to engage in these behaviors, neither client self-injured or attempted suicide during the PTSD treatment. These preliminary findings demonstrate the potential efficacy of combining an exposure treatment for PTSD with standard DBT, while also showing that exposure-based PTSD treatments can be implemented safely and effectively with BPD clients. © 2008.<p /><p>Language: en</p>",
language="en",
issn="1077-7229",
doi="10.1016/j.cbpra.2007.08.006",
url="http://dx.doi.org/10.1016/j.cbpra.2007.08.006"
}